| NPI | 1689643322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARNIX E HEERSINK Chairman 334-793-2211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: GA 047-325) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2015-08-06 |