| NPI | 1790175818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JASPER GRANDY Vice President 561-585-6472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |