| NPI | 1871773788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HOLLOWAY President 706-323-3491 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: GA 001254) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Licence: GA 030005) |
| 332H00000X Eyewear Supplier (Licence: GA 017594) | |
| 332H00000X Eyewear Supplier (Licence: GA 034249) | |
| 332H00000X Eyewear Supplier (Licence: GA 039057) | |
| 332H00000X Eyewear Supplier (Licence: GA 047418) | |
| 332H00000X Eyewear Supplier (Licence: GA 049643) | |
| 332H00000X Eyewear Supplier (Licence: GA 054799) | |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2022-10-05 |