| NPI | 1003008749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN COLLINS REED Licensed Dispensing Optician 706-549-4457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: GA LDO001741) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2008-01-08 |