| NPI | 1679112122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL BENJAMIN JENNINGS President 864-650-2088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |