NPI | 1174113377 |
---|---|
Entity Type | Organization |
Authorized Contact | BOBBIE RICHARDSON Vice President 405-413-3202 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2021-01-21 |
Last Update Date | 2021-01-21 |