| 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 |