| NPI | 1518054956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL N MANDESE Owner 321-722-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |