| NPI | 1750679213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARTLEY NICHOLS Member/Organizer 205-910-5234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-C43-TA-859) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |