| NPI | 1710138060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANN G KING Owner/O PT Ometrist 251-666-3070 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S534TA272) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2008-10-06 |