NPI | 1073882916 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS M KINES O PT Ometrist 256-245-7696 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-342-TA-049) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-C54-TA-889) |
Enumeration Date | 2011-12-21 |
Last Update Date | 2011-12-21 |