NPI | 1770781957 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK CHRISTOPHER PAYNE Owner 248-393-1275 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: MI 4901003125) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2009-03-12 |