| NPI | 1447207568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAHANN VAUGHN Managed Care Sales Coordinator 470-448-2782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2015-01-14 |