| 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 |