| NPI | 1629453584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P OWENS Owner 336-992-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NC 1228) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |