| NPI | 1578866893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M VAN DUYN Manager 916-452-8105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |