| NPI | 1154522563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES TILLMAN BOHLER General Manager 704-827-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |