| NPI | 1417135328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDEL EDWARD JOHANSON Owner 530-895-1474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-02-06 |