| NPI | 1619133949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A THOMASON O PT Ometrist 731-986-4932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TN TN0915) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |