| NPI | 1356504559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE POPE Billing 806-797-4216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX 04809TG) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |