| NPI | 1225086721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART D. MARKS Authorized Official 706-922-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2022-07-15 |