| NPI | 1538382973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELVET JETER MADDOX President 334-347-6599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-686-TA-163) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2011-08-24 |