| NPI | 1962687541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN L WILSON Supervisor 214-957-3108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-02-14 |