| NPI | 1073784930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIS LENZ Manager 502-897-0856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: KY 376) |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: KY 120) |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-04-11 |