| NPI | 1265581599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINDELL LEE LEWIS Manager 601-982-9477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MS C08463429) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2015-07-10 |