| NPI | 1154503027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS L. BAYSE Owner 910-392-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NC 292) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2011-04-12 |