NPI | 1366569766 |
---|---|
Entity Type | Organization |
Authorized Contact | STACIA A DECKER VP Of Retail 520-327-6215 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AZ 813) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2008-10-30 |