| NPI | 1659641579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY A HEDDLES Owner/General Manager 256-423-5850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |