| NPI | 1013187996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL O ELLIOTT Owner 574-233-3617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2022-07-21 |