NPI | 1588793681 |
---|---|
Doing Business As | ROBERT L. BALLEW III |
Entity Type | Organization |
Authorized Contact | SOUNDRA BALLEW Owner 256-931-4994 |
Organization Subpart ? | No |
Primary Taxonomy | 156FC0801X Technician/Technologist, Contact Lens Fitter |
Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens |
332H00000X Eyewear Supplier (Equipment, not the service) | |
Enumeration Date | 2007-03-05 |
Last Update Date | 2008-06-27 |