| NPI | 1881738177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES FLY Owner 901-850-0811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: TN dpo482) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |