| NPI | 1104067461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIILYN A DOUGHERTY Owner 303-443-3551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: CO 10608000000) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2011-06-14 |