NPI | 1619249836 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDY STEVEN FIELDS Optometrist 334-821-3700 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-556-TA-036) |
Enumeration Date | 2012-02-03 |
Last Update Date | 2024-07-15 |