| NPI | 1588847248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN RENE BRAGA Owner 208-733-1067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AZ 601i) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2008-06-05 |