| NPI | 1124201744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD L. BAKER Owner 479-754-3309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AR 2006) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |