| NPI | 1336507748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER S DETLOFF Optometrist/ Owner 205-915-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-876-TA-437) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |