NPI | 1669664660 |
---|---|
Entity Type | Organization |
Authorized Contact | BRICE A ROSELLI Owner 772-978-0845 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OPC 3612) |
Enumeration Date | 2007-08-14 |
Last Update Date | 2007-08-14 |