NPI | 1790053783 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL ORVILLE BENSON Owner 541-273-2100 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2011-12-06 |
Last Update Date | 2012-11-13 |