| NPI | 1568817955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP K CLARK Owner 602-277-5007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AZ 417) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |