| NPI | 1366603821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY ANN BRADY President 620-343-2335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |