| NPI | 1437359353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIETTE J DRIVER Owner 731-968-1926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TN OD 1814) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2008-05-26 |