| NPI | 1215112776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ ANNE WICKS Manager 970-241-2884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |