| NPI | 1730241720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN M SWANSON Human Resources Osha 256-463-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL s-b35-ta-733) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |