| NPI | 1164032512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DAWN BELANGER Owner 270-604-0755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2023-04-28 |