NPI | 1376721936 |
---|---|
Entity Type | Organization |
Authorized Contact | CLYDE E HAWORTH Owner 401-333-0090 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: RI ODTG495) |
Enumeration Date | 2008-02-06 |
Last Update Date | 2012-01-20 |