| NPI | 1447443890 |
|---|---|
| Doing Business As | GTR OPTICAL DISPENSARY |
| Entity Type | Organization |
| Authorized Contact | PAMELA S. WEST Optician 662-327-6341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2008-03-27 |