NPI | 1790711026 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL SCOTT GLANTZ President 503-338-3803 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2008-01-25 |