| NPI | 1154682466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A MCCOLLOUGH Manager 719-471-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-04 |