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 |