NPI | 1780090977 |
---|---|
Entity Type | Organization |
Authorized Contact | GERALD B WALMAN Owner 623-236-1999 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2014-07-08 |
Last Update Date | 2014-07-08 |