| NPI | 1760683221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY BOWIE General Manager 731-422-1601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: TN 10155120600000) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2008-07-02 |