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 |