NPI | 1265502272 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY W. WILLIAMS President 763-712-9854 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WI 1038) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2020-08-22 |