NPI | 1144336108 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC KYE LAYTON President 870-932-9800 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AR PC-103) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AR PC-103) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2008-02-05 |