| NPI | 1528675469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE ZINKY COO 602-456-6896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |