NPI | 1215089776 |
---|---|
Doing Business As | JEA OPTICAL MADISON |
Entity Type | Organization |
Authorized Contact | JOHN H MCVEY Managing Partner 601-352-0025 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 4164) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2009-06-19 |