NPI | 1134489529 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANNA PAINTER Enollment Specialist 479-277-1238 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
Enumeration Date | 2012-05-21 |
Last Update Date | 2012-05-21 |