| NPI | 1962688242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED L APPLEGARTH Owner 805-543-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: CA OPT 7714 TPA) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-02-12 |