| NPI | 1760736409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS WAYNE SNELL Owner 601-845-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MS 1006964) |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2012-11-02 |