NPI | 1295775088 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA PURCELL Provider Network Administrator 770-822-4245 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2020-08-22 |