| NPI | 1578148706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY J GRAVES Accountant 816-729-5602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2021-03-09 |