| NPI | 1740469469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONIA C STEVENSON Billing Rep 877-449-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101241378) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2010-10-05 |