| NPI | 1932383247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF STAIMAN Owner 785-271-7356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: KS 036-F-01) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2022-07-21 |