| NPI | 1013281104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER MARK AMOS Optometrist/ Owner 256-469-6073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S999TA565) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2013-09-11 |