NPI | 1578766465 |
---|---|
Entity Type | Organization |
Authorized Contact | VICKY HARMON Managed Care Coordinator 704-405-4183 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2007-06-07 |
Last Update Date | 2020-01-07 |