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 |