| NPI | 1326490152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN ELISE DUNN Certified Optician 817-807-2873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |