| NPI | 1952521510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN D KELLY Secretary Treasurer 719-632-2875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |