NPI | 1144421116 |
---|---|
Entity Type | Organization |
Authorized Contact | FREDRICK WARREN GRUBB President 956-664-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2008-02-19 |