| NPI | 1114198363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JOHN GUILFOYLE Owner 252-634-1966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NC nc1475) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |