NPI | 1184613366 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK A. LATTA Owner/Partner 806-358-2205 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2005-10-19 |
Last Update Date | 2008-10-27 |