| NPI | 1194087320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY UNREIN Optician 970-522-7819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2014-04-08 |