| NPI | 1619090354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | S GREGG FITZGIBBONS President 478-757-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: GA 1816) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2010-03-02 |