| NPI | 1710005137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SHELTON Owner 209-669-9209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA D6458) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2011-11-17 |