| NPI | 1659541944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN BROWN CORDLE Owner/O PT Ician 910-686-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: NC 693) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |