| NPI | 1023246139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GELAIN NECAISE Insurance Manager 601-649-1437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2009-06-26 |