NPI | 1598989501 |
---|---|
Entity Type | Organization |
Authorized Contact | JOE B COLLINS Owner 501-982-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2045) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AR OP1100081) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2020-08-22 |