NPI | 1619146883 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY A COCHRAN Owner 662-289-9581 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MS 056063) |
Enumeration Date | 2008-02-21 |
Last Update Date | 2008-06-11 |