| NPI | 1518119585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY EVANS Owner 601-553-2155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MS 038188280) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2010-11-11 |