| NPI | 1144361320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A. VROEGH President 708-633-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2009-07-20 |