| NPI | 1679615462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB KENNETH MCCULLEN Managing Partner 704-853-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NC 38135) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |