| NPI | 1245323971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE GAVIN MCFADEN Owner 334-288-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AL S343TA056) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-11-12 |