NPI | 1770731168 |
---|---|
Entity Type | Organization |
Authorized Contact | RUSSELL FRANCIS Owner 505-722-2121 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NM 0800001830) |
Enumeration Date | 2008-08-28 |
Last Update Date | 2008-08-28 |