| NPI | 1447456876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD BROWN Owner 662-983-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 577) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MS 577) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2008-03-06 |