| NPI | 1851708176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED CHARLES BAER Owner 541-752-9606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OR 1197ATI) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |