| NPI | 1568602258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE O. HAZOURI Manager 352-331-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL 29463) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-03-17 |