| NPI | 1902949654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY BAKOWSKI Office Manager 318-227-2451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2010-10-29 |