| NPI | 1184704785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID PARKER Optician 912-352-3997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: GA 1130) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-01-31 |