| NPI | 1942409966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR A HALEY O PT Ometrist 270-469-4393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: KY 1181DT) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2014-08-15 |