| NPI | 1437828522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE GARVEY Sr Dir Billing & Reconciliation 479-277-2611 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2021-09-10 |