| NPI | 1235304924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVERETT CROCKETT MOULTON President 479-646-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AR C4990) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2019-01-24 |