| NPI | 1205965829 |
|---|---|
| Doing Business As | ROBERT L. BALLEW III |
| Entity Type | Organization |
| Authorized Contact | SOUNDRA BALLEW Owner 256-931-4994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 156FC0801X Technician/Technologist, Contact Lens Fitter |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2008-06-27 |