NPI | 1700129293 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA PATTON Co Owner 601-398-4658 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2013-04-03 |
Last Update Date | 2013-04-03 |