| NPI | 1578759908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BLAIR FOWLER Owner 1843-357-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: SC 713) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2009-07-20 |