| NPI | 1982817730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN DUNCAN ANDERSON Owner Licensed Dispensing Optician 912-748-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: GA 1696) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2010-05-25 |