| NPI | 1124027818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN ROPELLA Office Manager 515-225-3546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IA 200277607) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2020-05-11 |