| NPI | 1144354572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE ANTHONY MAXWELL Owner 401-723-4910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: RI 191) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-07-16 |