| NPI | 1205233681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN PITTMAN Director Of Managed C Are 972-488-2002 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |