| NPI | 1619044948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSETTA CARGUS Optometrist Owner 205-477-0229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S882TA441) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2010-04-28 |