| NPI | 1568638005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLIE B WINTERS Office Manager 941-366-7611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL ME17033) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2010-10-04 |