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 |