| NPI | 1700244092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LEE EDWARDS Managing Member 970-581-4586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |