| NPI | 1093836124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY A SANSBURY CEO 803-781-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: SC 204) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-01-21 |