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 (Licence: MS 577) |
Enumeration Date | 2007-06-22 |
Last Update Date | 2008-03-06 |