| NPI | 1073712147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA R. BOOZER Optical Assistant 662-332-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |