| NPI | 1407828379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD DRAKE President 256-773-3997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-A49-TA-629) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2023-02-01 |