| NPI | 1164568028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY THOMAS TATE President Corbin Optical 606-528-2833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: KY 567) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-06-17 |