NPI | 1659522548 |
---|---|
Entity Type | Organization |
Authorized Contact | BRET HUNTER OWENS Owner 620-664-6760 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2008-10-09 |
Last Update Date | 2008-10-09 |