| NPI | 1811390826 |
|---|---|
| Other Name | SUPERIOR EYECARE OF GRIFFIN |
| Entity Type | Organization |
| Authorized Contact | MALIQUE R PAYNE Owner/O PT Ometrist 256-716-6955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL R-227-TA-984) |
| Enumeration Date | 2014-10-04 |
| Last Update Date | 2020-12-22 |