| NPI | 1548446024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMIE LINN BLAHUTA Optician/Manager 713-772-9971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |