| NPI | 1932795465 |
|---|---|
| Former Legal Business Name | CONTACT LENS & SPECTACLE SHOP, LLC |
| Entity Type | Organization |
| Authorized Contact | TIFFANY FLYNN Owner 704-200-5194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2020-12-18 |