| NPI | 1972628055 | 
|---|---|
| Doing Business As | SPARTANBURG VISION WEST | 
| Entity Type | Organization | 
| Authorized Contact | TOM MACMILLAN Owner 864-576-0564  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 991)  | 
| Enumeration Date | 2007-03-20 | 
| Last Update Date | 2008-08-11 |