| NPI | 1548441777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA B AHMANN Manager 505-262-3370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2008-04-20 |