| NPI | 1699123893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LITTLE Dir Healthcare Contract&Enrollment 479-277-2500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2019-08-27 |