| NPI | 1083827356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK D DOWLER President 937-293-0853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OH 974S) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |