| NPI | 1770652216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY M FIELDS VP 205-545-2572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: CA 550000072) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2014-08-21 |