NPI | 1134304637 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA L WALLEN LYNCH CEO 602-750-6743 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2008-01-02 |
Last Update Date | 2008-01-02 |