| NPI | 1700819240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY MAXWELL CARTER Medical Director 334-794-1968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |