| NPI | 1013103175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | S C JOINER O PT Ician 602-995-5883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AZ 269) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |