Ernest Jonathan Champion, OD Valid NPI

Individual provider · Optometrist · Alexander City, AL

NPI

1740261601

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

S-908 TA 463 (AL)

Sex

Male

Sole proprietor

No

Enumerated

2005-11-08

Last updated

2007-08-29