NPI | 1306126743 |
---|---|
Entity Type | Organization |
Authorized Contact | LEE W ROBERTSON Owner 540-298-1671 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: VA 0618002012) |
Enumeration Date | 2011-08-17 |
Last Update Date | 2011-08-17 |