| NPI | 1962028001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE BATES-FRIZZELL Owner 772-202-0629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |