NPI | 1619653789 |
---|---|
Entity Type | Organization |
Authorized Contact | RILEY RISTO Managing Member 435-305-9014 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2023-06-23 |
Last Update Date | 2023-06-23 |