| NPI | 1104961911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNAN ARTIMUS DOAN Part Owner 501-225-4507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-01-23 |