| NPI | 1972716645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY G. KELLY Owner 910-762-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NC 0735) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |