NPI | 1598884975 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL WINDHAM Owner 601-939-1981 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MS 061087102) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2016-01-08 |