| NPI | 1326160995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN GAIL MAIN Executive Director 916-765-2746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |