NPI | 1851430839 |
---|---|
Entity Type | Organization |
Authorized Contact | GORDON QUATTLEBAUM SCOTT Vice President Owner 803-254-9381 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: SC 352) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2020-08-22 |