| NPI | 1932439551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY R WELT General Manager 541-683-6341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: No License) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2011-03-22 |