| NPI | 1275752214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE GATESH Owner 480-947-2171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: AZ 07081073U) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |