| NPI | 1891124053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SANDERS Doctor/ Owner 254-518-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2014-05-02 |