NPI | 1679596753 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT ROY MOULTON Owner 802-442-8002 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2008-05-22 |