NPI | 1053687384 |
---|---|
Other Name | 20/20 EYEWEAR OF CONWAY |
Entity Type | Organization |
Authorized Contact | JOHN BLAIR FOWLER Owner 843-248-2020 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: SC 713) |
Enumeration Date | 2012-03-30 |
Last Update Date | 2012-03-30 |