| NPI | 1164434536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONA MCROY VINES Office Comptroller 256-880-8058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-847-TA-353) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-595-TA-298) |
| 152W00000X Optometrist (Licence: AL R151TA719) | |
| 152W00000X Optometrist (Licence: AL S595 TA 298) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2010-07-21 |