NPI | 1407094261 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL S. JACOBS President 706-549-7047 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2009-01-31 |
Last Update Date | 2012-08-29 |