| NPI | 1003018771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAHANN VAUGHN Managed Care Sales COO Rdinator 678-892-3760 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2014-08-29 |