| NPI | 1912193798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA V WALL Office Manager 256-442-9350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AL S-732-TA-108) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2011-08-19 |