| NPI | 1043482656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY E. DIERKS Certified Optician 563-243-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-10-17 |