| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 156FC0800X Technician/Technologist, Contact Lens |
| 156FC0801X Technician/Technologist, Contact Lens Fitter |
| 156FX1100X Technician/Technologist, Ophthalmic |
| 156FX1101X Technician/Technologist, Ophthalmic Assistant |
| 156FX1201X Technician/Technologist, Optometric Assistant |
| 156FX1202X Technician/Technologist, Optometric Technician |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |