| NPI | 1497765721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE J GUIDO Business Manager 256-705-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2022-06-16 |