| NPI | 1760658702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MARGARET RECTOR Owner/Optician 276-236-4066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: VA 1101001399) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |