| NPI | 1417594532 |
|---|---|
| Doing Business As | PATHWAY EYE COLLEGDALE |
| Entity Type | Organization |
| Authorized Contact | RACHEL MARIE ARNOLD Billing/Credentialing Manager 256-321-1828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2024-01-02 |