| NPI | 1023229440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA LIGHT Owner 312-644-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IL 1817003) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-09-07 |