NPI | 1790025583 |
---|---|
Doing Business As | IMAGINE EYEWEAR |
Entity Type | Organization |
Authorized Contact | PAUL GARZA Owner/Optician 432-695-6259 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2013-02-15 |
Last Update Date | 2013-03-01 |