| NPI | 1508035007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA B DAVALT Owner 904-353-6229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |