| NPI | 1073882916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M KINES Optometrist 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 |