| NPI | 1073647749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WAYNE RITZENTHALER Optometrist 608-356-3972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WI 1695) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-03-18 |