| NPI | 1447420021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDIE CECIL FROST Owner 423-894-1947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TN DPO218) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-08-27 |