| NPI | 1366616476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN RONALD GROSS Owner/Md 661-255-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA 156FX1100X) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |