NPI | 1700982006 |
---|---|
Doing Business As | THE EYEWEAR PAVILION |
Entity Type | Organization |
Authorized Contact | DARRELL GENSTLER Owner 541-928-1667 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2020-08-22 |