| NPI | 1477661221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN EBNER Manager 303-447-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CO 10-56711-0000) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |