NPI | 1134885437 |
---|---|
Entity Type | Organization |
Authorized Contact | WESLEY CHAMBERLIN Owner 726-444-4078 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2021-11-10 |
Last Update Date | 2022-01-19 |