| NPI | 1629193602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIA NEWPORT O PT Ician 405-942-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OK F) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2022-07-21 |