| NPI | 1285770743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON A BAZHAW VP Revenue Cycle 469-270-6658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2023-07-31 |