| NPI | 1912126442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LAYTON Owner 361-883-2216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2012-10-17 |