| NPI | 1841332343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN C ERICKSON Owner 208-664-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-09-16 |