| NPI | 1124206743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELVET L. PREWITT Owner 870-698-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: AR L930710) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |