| NPI | 1902617145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM GRIFFIN Sr Analyst 954-205-3412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-01-16 |