NPI | 1578747309 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER WAYNE FREY President 813-977-4801 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL DO 2954) |
Enumeration Date | 2007-12-28 |
Last Update Date | 2008-02-01 |