| NPI | 1760613210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EDWARD LOCKLEAR Director Of Managed Care 972-488-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-07-31 |