| NPI | 1134589161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEYDY COLMENARES Owner 661-456-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |