| NPI | 1528113230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY LEE MORTON Owner,Manager,Licensed Optician 704-482-9883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC 0528) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |