| NPI | 1598049744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KACZKOWSKI President 501-265-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1700X Technician/Technologist, Ocularist |
| Additional Taxonomies | 229N00000X Anaplastologist |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 174400000X Specialist | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: AR OPP00038) | |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2018-09-26 |