| NPI | 1245970128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLSIE MCDONALD Crdenttialing Manager 210-524-6663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2023-07-21 |