| NPI | 1053564658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S MATOLA Owner 406-755-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MT C187758-906105) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |