| NPI | 1922343904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD C CHILDS Physician 251-990-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2012-12-03 |