NPI | 1477993186 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY POWERS Specialist, Plan Enrollment 479-204-0709 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
Enumeration Date | 2013-06-26 |
Last Update Date | 2013-06-26 |