| NPI | 1548395080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN GERARD BECVAR Owner 573-441-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: MO 2004020693) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2013-09-11 |