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 |