| NPI | 1932119013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY J. BOYD Contract Coordinator 479-277-1359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2017-10-04 |