| NPI | 1528351566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBRA KAY SUMMERS Owner 503-295-6488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OR 156fx1100x) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-24 |