NPI | 1083871297 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK ALAN COUTS President 574-842-3372 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IN 18002062) |
Enumeration Date | 2008-05-16 |
Last Update Date | 2011-03-25 |