NPI | 1174683403 |
---|---|
Doing Business As | SOUTHWEST EYEWEAR |
Entity Type | Organization |
Authorized Contact | VICTORIA ANN TEAHAN Secretary Treasurer 505-346-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NM 2499747) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2008-04-01 |