| NPI | 1295993756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDIE H DAVIS Office Manager 912-262-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: GA 684) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2012-12-17 |