| NPI | 1831323815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PAGAN Owner 787-200-4677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PR 503) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2021-02-17 |