NPI | 1326032293 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN F. PHILLIPS Owner 863-299-8908 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2005-09-07 |
Last Update Date | 2015-01-13 |