| NPI | 1043496573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY E FOSTER Owner 615-320-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TN 552) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-02-06 |