NPI | 1790013688 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACI MARR Director Of Training 972-488-2002 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2009-12-03 |
Last Update Date | 2009-12-03 |