| NPI | 1992982821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY RECORD Owner 727-861-3536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL 2261) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |