| NPI | 1376598128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN EDICK Mc Assistant 678-892-3774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2010-10-05 |