| NPI | 1417449216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE M. SHOW Owner 334-694-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S831TA373) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-07-11 |