NPI | 1417125485 |
---|---|
Entity Type | Organization |
Authorized Contact | DANNY L HARTZOG President 334-775-3295 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AL S377TA045) |
Enumeration Date | 2008-02-13 |
Last Update Date | 2008-03-07 |