| NPI | 1700247186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO ANTONIO DI PASCUALE Owner 915-626-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX N7917) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |