| NPI | 1518600063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THELMA I SCHARBER Office Manager 575-434-1993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-04-13 |