NPI | 1801010772 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM E. BURR Owner 816-233-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Additional Taxonomies | 332H00000X Eyewear Supplier (Licence: MO MD R7N30) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2018-10-03 |