| NPI | 1629261003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN A JOHNS Office Manager 602-993-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: AZ 20155482H) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2010-01-13 |