NPI | 1477183952 |
---|---|
Entity Type | Organization |
Authorized Contact | DAMON COUSIN Consultant 985-445-3154 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2020-01-23 |
Last Update Date | 2021-03-18 |