| NPI | 1427482413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN GLENN BERKHEIMER President 360-698-4948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WA 332B00000X) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |