| NPI | 1518079656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO BAIZE Owner 941-923-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OPC 2467) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-05-15 |