| NPI | 1871962951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK GREGG President 541-957-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2016-01-21 |