NPI | 1952722068 |
---|---|
Entity Type | Organization |
Authorized Contact | VIRGINIA E SMITH Credentialing Coordinator 888-737-9615 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AL 341) |
Enumeration Date | 2013-12-17 |
Last Update Date | 2013-12-17 |