| NPI | 1063800175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEB LAUVER Specialist Plan Enrollment 478-258-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2014-12-26 |