| NPI | 1033324942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE NORMAN HOLDREN Owner 360-377-3703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WA 0025209MD00031837) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-12-13 |