| NPI | 1154655108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE WIDMANN Sole Proprietor 254-776-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX 3751TG) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-09-23 |