NPI | 1831379163 |
---|---|
Entity Type | Organization |
Authorized Contact | KEITH ALLEN MALLATT Owner 620-231-1720 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: KS KS 1173-2) |
Enumeration Date | 2007-11-03 |
Last Update Date | 2010-04-20 |