| NPI | 1902515836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY BUXBAUM Controller 855-550-0743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2022-11-18 |