| NPI | 1609931666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MOORE President 205-758-1966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-758-TA-061) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AL S758-TA061) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2012-03-27 |