| NPI | 1346318912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEIGH MCVICKER BUCKINGHAM Vice President 205-640-3091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S970TA531) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S951TA530) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-05-01 |