| NPI | 1992934301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY BURGER Office Manager 850-357-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-07-07 |