| NPI | 1548385818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ORIE ALBERT Preisent 573-438-3415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MO T02120) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |