| NPI | 1548434657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA HICKS Insurance Clerk 205-926-4816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AL S-374-TA-005) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2018-06-21 |