| NPI | 1083991566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY CASE Bookkeeper 509-482-9037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2024-02-14 |