NPI | 1619155736 |
---|---|
Doing Business As | WETUMPKA OPTICAL |
Entity Type | Organization |
Authorized Contact | WILSON GUINN PAULK Physican / Owner 334-260-8511 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AL 332H00000X) |
Enumeration Date | 2008-01-31 |
Last Update Date | 2011-05-11 |