NPI | 1013057744 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL J FEDERSPILL Owner 317-888-9755 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2013-06-11 |