| NPI | 1003251653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LEEANN CANTLEY Optometrist 256-507-1416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-C54-TA-889) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AL S-C54-TA-889) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |