| NPI | 1669678140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM D ANDERSON Cheif Medical Officer 803-434-6836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2014-02-07 |