| NPI | 1023285210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DONALD BURNS President 573-636-2103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |