NPI | 1285789974 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS J JOHNSON Vice President 928-773-9697 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AZ AZ1128) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2008-01-04 |