| 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 |