| 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 |