| NPI | 1073921003 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | NATALIE TRACY ASANTE Owner/ Manager 331-333-0606 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2022-07-21 |