NPI | 1285861864 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT B WALLACE Member 318-448-4488 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2009-06-22 |
Last Update Date | 2009-06-22 |