| NPI | 1881620169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDY H LEWIS Chief Manager 731-784-1186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2015-09-11 |