| NPI | 1295060267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX GILBERT SOX O PT Ician/Owner 910-763-2532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: NC 594) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-26 |