| NPI | 1720243363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE C GOODWIN O PT Ical Operations Manager 336-245-5628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-23 |