| NPI | 1982865879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EARL CLARK Owner 770-227-2346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: GA 850) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |