NPI | 1568590081 |
---|---|
Entity Type | Organization |
Authorized Contact | WILFRED DEE SPARKS President 325-655-9998 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX 0) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2022-07-21 |