| NPI | 1487821435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOMPHAVANH VINAVONG Owner/President 229-888-3772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |