| NPI | 1558536466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH JEAN FANTIN President / O PT Ician 863-993-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL DO 4027) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |