| NPI | 1508868399 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | CANDICE DAVIS VP 916-990-7590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AL n/a) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2021-04-13 |