NPI | 1124276019 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELLY SPURGESS Owner 205-329-1430 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004626) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AL SB32TA732) |
Enumeration Date | 2008-09-04 |
Last Update Date | 2024-04-30 |