| NPI | 1760654362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E. GRANT President 239-334-7268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL DO2474) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2009-03-18 |