| NPI | 1578744868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE TIDWELL Business Manager 256-464-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-761-TA-167) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2012-11-21 |