| NPI | 1083899405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL W HOERTH Owner O PT Ometrist 256-878-3024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL TA048) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-03-03 |