| NPI | 1205101219 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CINDY CASE Bookkeeper 509-482-9037  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) | 
| Enumeration Date | 2012-03-09 | 
| Last Update Date | 2018-03-29 |