| NPI | 1992805873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES JOHNSON Vice President 704-567-6755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1458) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |