| NPI | 1790802619 |
|---|---|
| Doing Business As | GLYNN OPTICAL |
| Entity Type | Organization |
| Authorized Contact | BURNEA JOSEPH JOUBERT President 912-264-4015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: GA 905) |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2008-03-13 |