NPI | 1154643823 |
---|---|
Entity Type | Organization |
Authorized Contact | LIONEL LORIO SMITH Owner 225-291-5533 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: LA 10-00813-405) |
Enumeration Date | 2010-02-23 |
Last Update Date | 2010-02-23 |