| NPI | 1063686863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD H SEALOCK Owner 334-793-9607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AL s371ta081) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-06-13 |