NPI | 1841460722 |
---|---|
Entity Type | Organization |
Authorized Contact | JAKE CLINTON GOODWIN President 205-424-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AL 08007709) |
Enumeration Date | 2008-03-06 |
Last Update Date | 2011-12-14 |