NPI | 1922214634 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH BOONE BARON Owner 318-329-9666 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2008-06-30 |