NPI | 1205103215 |
---|---|
Other Name | 20/10 OPTICAL |
Entity Type | Organization |
Authorized Contact | JAMES DAVIS MUNGENAST Mgrm 941-833-9044 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OE 1978) |
Enumeration Date | 2011-11-18 |
Last Update Date | 2011-11-18 |