NPI | 1346392438 |
---|---|
Entity Type | Organization |
Authorized Contact | BRAD LUERSSEN Owner,Operator 303-758-1292 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: CO 21538790000) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2020-08-22 |