| NPI | 1982462875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS SCONYERS Owner 478-973-2227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 156FC0800X Technician/Technologist, Contact Lens | |
| 156FC0801X Technician/Technologist, Contact Lens Fitter | |
| 156FX1100X Technician/Technologist, Ophthalmic | |
| 156FX1101X Technician/Technologist, Ophthalmic Assistant | |
| 156FX1201X Technician/Technologist, Optometric Assistant | |
| 156FX1202X Technician/Technologist, Optometric Technician | |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |