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 |