NPI | 1720265721 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT H BOSTWICK Owner 662-534-9288 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2008-01-22 |
Last Update Date | 2010-05-19 |