| NPI | 1356409080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEIGH MCVICKER BUCKINGHAM Vice President 205-467-7608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S951TA530) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S970TA531) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-12-20 |