| NPI | 1447721519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLSIE MCDONALD Manager Mvc Network Management 726-444-4078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-01-08 |