| NPI | 1245390459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE NICHOLAS EISCHENS Owner CEO 334-358-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S983TA555) |
| Additional Taxonomies | 152WV0400X Optometrist Vision Therapy (Licence: AL S983TA555) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2010-05-25 |