| 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 (Equipment, not the service) (Licence: SC 713) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |