| NPI | 1649492646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL LOCKERMAN Managing Employee 904-241-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL 1599) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |