| NPI | 1508281551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE E BROCKELSBY President 907-488-9462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: AK 49) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |