| NPI | 1689208951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER J DUKES Billing Manager 850-434-2060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |