NPI | 1992939391 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID LEO REMINGTON Owner 660-882-6456 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2009-05-13 |
Last Update Date | 2009-07-15 |