| NPI | 1689918898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY PERRY Credentialing 404-351-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |