| NPI | 1083134431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYLON STOREY Owner 316-807-2720 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-08-03 |