| NPI | 1619416807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK PORTNOY President 972-377-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |