| NPI | 1124272661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANUARY L. MOENNIG President/Owner 727-447-5466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OPC2200) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2010-01-08 |