| NPI | 1306983366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD DEHOOG Owner 336-288-9504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NC 993) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |