| NPI | 1053842286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY DOUGLAS Business Unit Director, Optical 210-938-0170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2018-07-16 |