NPI | 1134427164 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNN POLONSKI President/Owner 520-576-5110 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: AZ 14129468) |
Enumeration Date | 2011-02-28 |
Last Update Date | 2011-02-28 |