| NPI | 1538268685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK TUCKER President 256-329-9064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AL 16404) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S615TA099) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-10-18 |