| NPI | 1306811294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY L. SCALES Clinic Administrator 501-985-0616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2012-06-21 |