| NPI | 1174655997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD ERIC WISE Owner 303-299-9473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CO 07-70541-0000) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |