NPI | 1427005917 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC ANTOINE Managed Care 678-892-3771 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2006-05-28 |
Last Update Date | 2017-08-22 |