| NPI | 1265617336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE MELVIN FUNKHOUSER Owner 903-677-1985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-05-21 |