| NPI | 1528459062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL MONTGOMERY Owner 864-833-0038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |