| NPI | 1154487320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE S JOHNSON Owner 303-772-3818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CO 07-69569-0000) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2009-01-22 |