| NPI | 1457524597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PRICE Financial COO Rdinator 334-365-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S398TA100) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: AL S398TA100) |
| 152WL0500X Optometrist Low Vision Rehabilitation (Licence: AL S398TA100) | |
| 152WP0200X Optometrist Pediatrics (Licence: AL S398TA100) | |
| 152WS0006X Optometrist Sports Vision (Licence: AL S398TA100) | |
| 152WV0400X Optometrist Vision Therapy (Licence: AL S398TA100) | |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2010-11-02 |