| NPI | 1174744288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALAN KIMMELMAN Owner 954-474-9823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL oe0000561) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |