| NPI | 1205012416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE L CADDELL Co Owner 575-887-2919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NM 02-477397-00-2) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-17 |