| NPI | 1255306742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY C HENDERSON President 423-875-9945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TN 0692) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2020-08-22 |