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 |