| NPI | 1932960192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA INEZ WELCH Optician 337-463-9821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |