| NPI | 1447383021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN HARRISON Owner 601-264-1701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens |
| 156FC0801X Technician/Technologist, Contact Lens Fitter | |
| 156FX1100X Technician/Technologist, Ophthalmic | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2013-03-07 |