NPI | 1982853644 |
---|---|
Entity Type | Organization |
Authorized Contact | BEVERLY GOUGH Owner 256-547-8642 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AL T88022) |
Enumeration Date | 2008-09-17 |
Last Update Date | 2008-09-17 |