| NPI | 1396281952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LEANNE MATALKA O PT Ometrist/Owner 256-283-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-D50-TA-A61) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |