| NPI | 1992841886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MIMS Office Manager 334-874-3403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AL 20641) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-B10-TA-704) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-04-22 |