NPI | 1730315151 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN B KNEECE Insurance Manager 803-781-2123 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: SC 204) |
Enumeration Date | 2009-06-01 |
Last Update Date | 2009-06-01 |