NPI | 1902065865 |
---|---|
Doing Business As | OPTICAL ILLUSIONS |
Entity Type | Organization |
Authorized Contact | PATTI BARKEY Administrator 904-861-3899 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Enumeration Date | 2008-06-05 |
Last Update Date | 2008-06-05 |