| NPI | 1891003422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYLAN ANNE WEBB O PT Ometrist, Owner 662-320-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: MS 767) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |