| NPI | 1265529150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE E QUINCY Owner/Pres 308-995-8697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NE 831) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2009-09-02 |