| NPI | 1558695403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANGEE MELISSA DAVIS Optometrist/Member 205-253-1277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-C15-TA-826) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2012-05-03 |