| NPI | 1922007525 |
|---|---|
| Doing Business As | WALL EYE CARE ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | SCOT ALLEN WALL Owner/President 229-888-2395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2008-03-03 |