| NPI | 1053595405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIPTON LEMAY Owner/Operator/Optician 239-263-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL 1427) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2009-03-12 |