NPI | 1265719066 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN ROBERT WALESBY President 813-915-0755 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2011-11-08 |
Last Update Date | 2012-01-26 |