| NPI | 1144607128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT WALDO FORREST Optician/Owner 336-818-8733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NC 421) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |