| NPI | 1144508672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE L BELLIS Secretary 910-483-0548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NC 1920) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |