| NPI | 1174517940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN F. PHILLIPS Owner 863-299-8908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2015-01-13 |