| NPI | 1891828794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DON BARTLEY Owner 605-692-7619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: SD 9280210) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2008-01-09 |