| NPI | 1154189645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA E THOMPSON Optical Manager 903-776-4029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens |
| 156FX1202X Technician/Technologist, Optometric Technician | |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2025-08-27 |