| NPI | 1821723156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI NESRSTA Director Of Managed Care Strategy 972-277-3057 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2026-10-02 |