NPI | 1912179565 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFERY B FORD President 334-230-9694 |
Organization Subpart ? | No |
Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: AL s910 ta465) |
Enumeration Date | 2008-03-24 |
Last Update Date | 2008-03-24 |