| NPI | 1659644433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK V LOCASCIO Od / Owner 253-874-8125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WA 601862098) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-05-16 |