| NPI | 1629236773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN D GREEN Owner 360-738-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WA OD00001910) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2020-03-31 |