NPI | 1760570295 |
---|---|
Entity Type | Organization |
Authorized Contact | RONNIE J. HATCH President 417-667-2560 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2007-08-23 |