| NPI | 1467132845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN SURYA BUEHLER Member 971-703-0490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-07-20 |