| NPI | 1518285683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY A DUBOSE P Resident 256-760-8072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: AL S533TA030) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2010-05-13 |