| NPI | 1174757835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC D GRIENER Owner 985-375-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: LA 88040235) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2014-10-15 |