| NPI | 1326218215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAD R KOSANOVICH Owner 941-473-1392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |