| NPI | 1164602504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIRK D MCGULLION Optometrist 256-638-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AL S818TA058) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2010-02-19 |