| NPI | 1003087669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNTA NICOLE TODD Owner 601-952-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2014-01-08 |