| NPI | 1932370202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA HUBBARD Manager 843-706-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: SC 741) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-07-24 |