| NPI | 1902918535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR WAYNE MATHEWS President 904-221-6319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL 552) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-01-31 |