| NPI | 1053614750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J ZYCH President 219-669-7564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IN 18003474A) |
| Enumeration Date | 2010-12-19 |
| Last Update Date | 2010-12-19 |