| NPI | 1093737017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY L MARTIN Owner 855-295-4144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2024-07-02 |