| NPI | 1528223302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN PETHGROVE President Owner 918-481-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-12-17 |