| NPI | 1538325238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHARLES VAUGHAN Owner 386-253-0041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL 1903) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-08-07 |