NPI | 1457414104 |
---|---|
Entity Type | Organization |
Authorized Contact | BARRY RAYFORD BASDEN President 256-766-3139 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-722-TA-009) |
Enumeration Date | 2006-12-17 |
Last Update Date | 2010-10-05 |