| NPI | 1992979314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DIESENHOUSE Owner 520-795-4202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AZ 0092770) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2017-10-04 |