| NPI | 1346548237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP TANNER ETCHELLS Owner/ President 760-961-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA 5518T) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2013-04-29 |