| NPI | 1003990532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L LINENBERGER Member/Optician 970-249-1186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2009-03-20 |