| NPI | 1447544200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE L HAYNES Owner 210-545-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX 04268TG) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-10-25 |