| NPI | 1720793169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE RUTH REASONER Owner 858-495-1488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-01-19 |