| NPI | 1275715757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D MAGWIRE Doctor/Owner 208-245-6563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: ID ODD382) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2010-07-02 |