| NPI | 1164083663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT SUMSION Administrator 530-244-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |