| NPI | 1720258478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILARY REECE Insurance Clerk 423-586-9601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TN OD0000001606) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-20 |