| NPI | 1174239123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA HACKNEY Owner/Operator 325-232-7938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-03-15 |