| NPI | 1770600272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRICILLA A KIRK Optician 931-484-9548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TN 0729) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |