| NPI | 1942357637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN LIVELY MARBOURG Secretary 205-625-5520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-712-TA-055) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2008-05-10 |