| NPI | 1144310947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS DEWAYNE TEICHMILLER Optometrist 256-353-1871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S718TA087) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |