NPI | 1710927942 |
---|---|
Entity Type | Organization |
Authorized Contact | SUE EDICK Provider Network Administrator 770-822-3600 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2009-05-14 |