| NPI | 1699910786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STEPHEN BILLITZ Owner/ O PT Ometrist 205-661-1975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S919TA498) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |