NPI | 1609080902 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH Y. BENEFIELD Owner 318-396-2440 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: LA 4905469-001) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2008-07-18 |