| NPI | 1275625329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE C LETSON Optometrist/Co Owner 256-534-8423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-863-TA-404) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |