| NPI | 1194859140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DUSTIN President 406-453-3662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MT 332H00000X) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |