| NPI | 1194405761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY RIDNER Owner/Provider 334-294-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-10-28 |