| NPI | 1043259930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A MORDHORST Owner 605-343-6617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2015-05-07 |