| NPI | 1518155381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK L HOLBERT Pres. Of Company/O PT Ician 256-351-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AL 332H00000x) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2015-09-03 |