| NPI | 1801956909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EL-ROY DEC DIXON Owner 229-439-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1100X Technician/Technologist Ophthalmic (Licence: GA 040367) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-03-24 |