| NPI | 1952360646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ADKINS ROSS Owner Optimetrist 706-660-0191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2008-05-19 |