| NPI | 1740336965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN COOK COO 561-965-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IN 1025973830015) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-11 |