NPI | 1639325624 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN D WARD President 270-651-6652 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: KY 841dt) |
Enumeration Date | 2008-08-11 |
Last Update Date | 2008-08-11 |