| NPI | 1699811828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN COOK COO 561-965-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AZ 03011217) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-11 |