| NPI | 1255490041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY E ROQUEMORE Optomestrist 205-221-6718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL S438TA078) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2024-07-09 |