NPI | 1699063149 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE BURDEAUX Administrator 302-677-0019 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2011-07-19 |
Last Update Date | 2011-07-19 |