| NPI | 1952482721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI BAKER Manager 928-445-3808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AZ 13-046129-A) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2014-06-27 |