NPI | 1073710968 |
---|---|
Doing Business As | EAU CLAIRE OPTICAL |
Entity Type | Organization |
Authorized Contact | ROY A OLSON Owner 715-834-5644 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WI 17337) |
Enumeration Date | 2007-07-02 |
Last Update Date | 2015-04-21 |