NPI | 1891917233 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES A. STEPHENS Owner 229-439-4687 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: GA 920511-DU) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-08-22 |