| NPI | 1033368220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLA LATHAM Partner 336-768-9262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NC NC1353) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |