NPI | 1538237771 |
---|---|
Entity Type | Organization |
Authorized Contact | RUSSELL LEE WHATLEY President 334-745-3112 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-720-TA-192) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2015-11-10 |