| NPI | 1639331416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNEY M SELTZER O PT Hamologist 843-572-0225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: SC C61273) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-22 |