| NPI | 1447394002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIE ALEXANDER Insurance Clerk 256-350-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AL 644) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |