| 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 |