| NPI | 1922435601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE ALEXANDER Manager 404-766-6268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: GA 54428) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: GA 54428) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |