NPI | 1144530213 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY D. GARRETT Owner/President 308-537-2601 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NE 743) |
Enumeration Date | 2010-10-07 |
Last Update Date | 2010-10-07 |