Thomas M Kines, OD Valid NPI

Individual provider · Optometrist · Sylacauga, AL

NPI

1336221647

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

S342TA049 (AL)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-10-19

Last updated

2011-09-16