| NPI | 1750629481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEE SHIKLES Office Manager 660-882-6456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MO T02332) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-05-15 |