| NPI | 1104948793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLYN WAYNE HARRIS President 601-825-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: MS 10192) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2009-10-15 |