| NPI | 1790955607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD H MERRILL Owner 334-222-6632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AL S-361-TA-258 AL) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-05-05 |