| NPI | 1205940202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORA J COLGLAZIER Office Manager 501-661-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AR 25107) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |