| NPI | 1669565255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM ABLES Practice Manager 501-985-0616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: AR OP1100385) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2026-05-19 |