| NPI | 1518598952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT WALKER General Manager 916-358-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-11-04 |