| NPI | 1245416825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARLA MICHELLE BREEDING Optical Manager 325-670-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2023-04-11 |