| NPI | 1063690733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART D ROGERS Owner 731-989-2711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TN ODT857) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |