| NPI | 1174011209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GREGORY BLACKWELL Managing Member 205-542-0541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |