NPI | 1063004752 |
---|---|
Doing Business As | RENAISSANCE EYE CARE |
Entity Type | Organization |
Authorized Contact | WARREN HAMPTON MOORE Owner 256-767-5522 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2021-02-04 |
Last Update Date | 2021-02-25 |