| NPI | 1245361658 |
|---|---|
| Former Legal Business Name | SALLY M. FIFE, OD |
| Entity Type | Organization |
| Authorized Contact | SALLY M FIFE Owner 270-827-8681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2014-11-13 |