| NPI | 1780855668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI M HIPSHER Office Manager 928-226-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AZ AZ1203) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2022-01-25 |