| NPI | 1386820421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WILLIAM WOLOSIN O PT Ician/President 702-564-3678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NV 362) |
| Enumeration Date | 2008-01-19 |
| Last Update Date | 2013-12-03 |