| NPI | 1134264567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NEILL Owner 256-881-2007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: AL 103753) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |