NPI | 1629014469 |
---|---|
Entity Type | Organization |
Authorized Contact | JACK LYNN HOLBERT President 256-351-0040 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2015-01-14 |