NPI | 1952765703 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNON FARMER Enrollment Specialist 479-277-1242 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
Enumeration Date | 2016-04-07 |
Last Update Date | 2016-04-07 |