| NPI | 1114197720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE A PERRY O PT Ometrist /Owner 205-932-5286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL S449TA072) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-13 |