NPI | 1376754317 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN 'DEANE' STOKES President 904-399-3690 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2020-08-22 |