| NPI | 1598772964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY RAUEN Administrator 865-524-9871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2013-03-15 |