NPI | 1093106668 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADLEY B WILLIAMS President 864-220-0737 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2015-02-18 |
Last Update Date | 2015-08-25 |