| NPI | 1962217273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK STURRIDGE Director 334-446-0872 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-04-09 |