| NPI | 1053582940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY E MARSHALL Office Manager 704-983-2202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NC 1005) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |