| NPI | 1114945003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY AYN ENDICOTT Business Manager 816-595-3908 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2014-03-10 |