| NPI | 1730209024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANA BRADLEY Optician 931-967-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN tn od 494) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-01-30 |