| NPI | 1790888634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES B. MATTAX President 417-886-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2016-05-05 |