| NPI | 1659379568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D LEWIS Owner 417-781-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MO 17181321) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-08-22 |