| NPI | 1114278066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER DORSEY Sole Member/Owner 903-641-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX DR4133) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |