| NPI | 1295867448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH E MILLER Office Manager 770-977-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: GA 1017) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |