| NPI | 1346204906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD L GOLD Director 706-324-7221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2022-07-21 |