| NPI | 1558718205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENY JORGENSEN Owner/Optician 318-935-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |