| NPI | 1013193499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY S FLYNN President/Owner 941-485-7316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OE0000334) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |