| NPI | 1750457198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS PAUL MATTINGLY Owner 765-423-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |