| NPI | 1982760922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED MATTHEW TRAVIS Owner 919-477-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NC 341) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |