NPI | 1417121955 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID B. BAXTER President 252-637-2921 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NC 944) |
Enumeration Date | 2008-04-16 |
Last Update Date | 2008-04-16 |