| NPI | 1609915172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALLEN CAMPBELL Owner 843-681-6682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2022-07-21 |