NPI | 1497052591 |
---|---|
Doing Business As | DOTHAN OPTOMETRIC CLINIC |
Entity Type | Organization |
Authorized Contact | MICHAEL ALVIN GRIFFIN Owner 334-479-0043 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AL s774-ta-431) |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: AL s774-ta-431) |
Enumeration Date | 2011-02-25 |
Last Update Date | 2021-08-31 |