| NPI | 1336274257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM H SULLINS Doctor 256-539-3454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AL S384TA085) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2019-06-21 |