| NPI | 1548512429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW GREENE Owner 979-690-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX 5726TG) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-03 |