| NPI | 1467228080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE RIVERA Billing Supervisor 864-268-3341 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |