| NPI | 1629133111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H TILLMAN Owner 334-222-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S620TA088) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AL 00025149) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2015-08-17 |