| NPI | 1285800821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY R. VANDERHEYDEN Owner 239-261-5915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OPC001061) |
| Enumeration Date | 2008-05-04 |
| Last Update Date | 2010-10-12 |