| NPI | 1649504804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRA M WILLIAMS President 334-467-9776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL opc 4196) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL opc4052) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2024-02-16 |