| NPI | 1982842308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL Z MORABITO Manager 843-557-2865 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| 152WS0006X Optometrist, Sports Vision | |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-02-06 |