| NPI | 1003086844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MIGUEL MARTINEZ Owner 662-728-2933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MS 059068403) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |