| NPI | 1376567917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMON G OWENS Owner 318-442-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: LA 00013309) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2008-05-20 |