| NPI | 1386373769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DARRELL RUDD Owner 681-238-5537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2022-10-26 |