| NPI | 1841420395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN DELROY HAMM Owner 701-281-9372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2009-07-17 |