| 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 |