| NPI | 1184894016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J WICKLINE President 360-681-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WA OD00001525) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |