| NPI | 1053532085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI ALAINE COLE Owner 386-719-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: FL 2280129751032) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |