NPI | 1497714240 |
---|---|
Entity Type | Organization |
Authorized Contact | RAY ALLEN SANSBURY President/ CEO 803-781-2123 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: SC 33) |
Enumeration Date | 2006-03-21 |
Last Update Date | 2008-01-21 |