| NPI | 1043596216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY MICHAEL JOHNSON Doctor Owner 256-543-8886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL SB35TA733) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2022-09-26 |