NPI | 1427349406 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTINA LOVINGGOOD Authorized Official/President/Od 334-874-7024 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AL SC32TA854) |
Enumeration Date | 2011-04-26 |
Last Update Date | 2024-04-22 |