NPI | 1891003422 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERYLAN ANNE WEBB Optometrist, Owner 662-320-6636 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MS 767) |
Enumeration Date | 2010-09-16 |
Last Update Date | 2010-09-16 |