| NPI | 1851348320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARITA LAWSON Supervisor 770-822-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2009-07-09 |