| NPI | 1811089808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DAVID MEDLOCK Partner 205-560-0477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S587TA195; S592TA197) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2010-11-12 |