| NPI | 1124347034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN M MAYS Insurance Manager 434-385-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: VA pending) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |