| NPI | 1144649112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY REYNOLDS Director 210-524-6515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2015-07-09 |