| NPI | 1619052834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE GIBSON Owner 601-261-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MS 018-14124-2) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2015-10-07 |