| NPI | 1578899472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE L BREEDEN Owner/Member 503-775-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2015-08-26 |