| NPI | 1124409321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY A SANSBURY Owner CEO 803-781-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: SC 204) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-13 |