| NPI | 1033300496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN BROWN Optician 912-352-2953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2022-07-21 |