| NPI | 1811171689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD D COURTENAY Managing Partner 229-247-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |