| NPI | 1245883321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD BRAD FOSTER Owner/Manager 334-821-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |