| NPI | 1972049229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GHENT Owner 803-416-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: SC 648) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |