NPI | 1497925796 |
---|---|
Entity Type | Organization |
Authorized Contact | DANNY J. PAYNE Owner 336-838-5852 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NC 992) |
Enumeration Date | 2008-03-03 |
Last Update Date | 2008-03-03 |