| NPI | 1568688802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLA FERCHOW Administrator 407-767-6411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-02-12 |