| NPI | 1992106314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGEN J HERRING Owner/Participating Provider 252-557-2257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2335) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |