| NPI | 1578659256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK MEDFORD COOPER Owner 972-296-2929 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2011-12-29 |