| NPI | 1043386287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY BULLER President 620-803-8616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: KS 1171-3) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2025-10-15 |