| NPI | 1588833412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE RANDLE Owner 662-256-8481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MS 515) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2011-02-01 |