NPI | 1790869253 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC DAMIAN GRIENER Owner 985-542-3336 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: LA 88040235) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2009-06-16 |