| NPI | 1306078365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BRADLEY DUPONT Owner 318-442-4230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: LA LA978-263T) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2009-08-13 |