| NPI | 1891035952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE BRADY Owner 772-589-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL 1848) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |