NPI | 1912109398 |
---|---|
Entity Type | Organization |
Authorized Contact | IFEANYI S ORIZU Owner 573-364-5600 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MO 4710340001) |
Enumeration Date | 2007-06-05 |
Last Update Date | 2008-05-09 |