| NPI | 1568612430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY SMITH Credentialing Coordinator 205-661-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2010-04-21 |