| NPI | 1679769517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY CARROLL MCCRAW President 318-425-7432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: LA 00200598) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2008-03-10 |