| NPI | 1689682510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY S OTT Office Manager 803-534-0266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |