| NPI | 1538268008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAE YONG SONG President/Doctor 334-874-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1100X Technician/Technologist Ophthalmic (Licence: AL 045662) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-03-14 |