| NPI | 1285271163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN DANIEL CASCIANO President 501-661-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |