| NPI | 1922355585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA VEREE JACOBS General Manager 501-516-1227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: AR L980322) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |