NPI | 1881812139 |
---|---|
Entity Type | Organization |
Authorized Contact | DANA CHRISTIANSON Owner 828-693-4161 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2007-12-14 |