NPI | 1568588721 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN TOSO President 605-987-2841 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: SD 570) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2014-08-07 |