| NPI | 1851561575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CLAUDE HURST President 618-242-7810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2022-07-21 |