| NPI | 1528559168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J OHSIEK Owner 970-614-8654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CO 2075) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |