NPI | 1194877076 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYON J. LUSSIER Co Owner 307-235-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2009-07-29 |