| NPI | 1386768810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN L HUNT Co Owner 228-762-1525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 653) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MS 526) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |