NPI | 1215351440 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS J STAVENGER Owner 701-235-5185 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: ND 332H00000X) |
Enumeration Date | 2014-02-07 |
Last Update Date | 2014-05-07 |