| NPI | 1194076778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN PITTMAN Director Of Managed Care 972-788-2002 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |