| NPI | 1902853369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARITA LAWSON Supervisor 770-822-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2010-08-18 |