| NPI | 1730472572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATANYA M DEBRUHL Owner/Manager 678-743-5156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-05-26 |