NPI | 1912399841 |
---|---|
Entity Type | Organization |
Authorized Contact | NATALYA FROLOVA O PT Ometrist 205-702-6232 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-C79-TA-928) |
Enumeration Date | 2015-03-02 |
Last Update Date | 2015-05-18 |