| NPI | 1821080250 |
|---|---|
| Doing Business As | OPTICAL OUTLET |
| Entity Type | Organization |
| Authorized Contact | NATLIE BROWN HERNDON President 601-833-1958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2020-08-22 |