| NPI | 1598829814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIE ALEXANDER Insurance Clerk 256-350-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S813TA107) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2008-05-08 |