| NPI | 1972849883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ROSSIE QUINONES CFO 406-435-6445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MT 12191) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2023-01-31 |