| NPI | 1669876751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LYNN SLYCORD Owner 704-300-7929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NC 2013) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2024-01-24 |