| NPI | 1245699842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA REICHERT Office Manager 251-666-6026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-534-TA-272) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |