NPI | 1225108830 |
---|---|
Entity Type | Organization |
Authorized Contact | ERNES VAN JOHNSON Physician Owner 205-556-4440 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2016-05-03 |