NPI | 1336310846 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH WAYNE HOUCHIN Physician Owner 775-738-5193 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NV 8896) |
Enumeration Date | 2008-03-13 |
Last Update Date | 2008-06-19 |