| NPI | 1023227378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN K JORGENSON President 253-572-4522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |