| NPI | 1750342093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYES JOLLY WANSLEY Manager/Optician 706-232-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: 1587) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-08-22 |