| NPI | 1841597408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH G FARLEY Owner 843-881-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: SC 739) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |