| NPI | 1578589107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM N MITCHELL Owner 256-533-0315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AL MD21789) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2014-05-28 |