| NPI | 1548395635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID P DUVAL Doctor 251-666-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AL S338TA250) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2019-06-05 |