| NPI | 1306975420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP KURICA Owner 985-652-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: LA 16584) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2008-02-12 |