| NPI | 1134617897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVON A WAGNER President 949-922-8175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2018-04-28 |
| Last Update Date | 2022-12-18 |