| NPI | 1780855379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRUSATTI Member 314-776-5606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2011-02-14 |