| NPI | 1396217931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATH V HAFFENER Part Owner 620-252-8047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2019-06-05 |