| NPI | 1386772002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH KIRBY Optical Manager Owner 910-799-5161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 272) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2008-06-16 |