| NPI | 1699801050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASIL STANLEY BROWN Secretary 706-882-8841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: GA 000336) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-04-24 |