| NPI | 1689846487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEONARD FAJONI President 985-345-0050 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2009-05-15 |