| NPI | 1831307727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE DALE MONSOUR President 601-638-7905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2012-11-13 |