| NPI | 1689852436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN R REARDON Owner 615-889-0433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TN 414) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |