| NPI | 1053568758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURI FRAZIER WYATT President 334-774-4703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-B17-TA-702) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2008-08-25 |