| NPI | 1912103458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS TODD FORD Owner 817-277-6433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2014-12-02 |