| NPI | 1669545075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LORRAINE JOHNSON Owner 360-479-6301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WA C600620889) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-08-21 |