| NPI | 1578773073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE M FEDORONKO Owner 314-968-1905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |