| NPI | 1427058387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A. GONCE Secretary 434-977-5160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2008-02-14 |