| NPI | 1144486614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES KENT MENG Doctor/Owner 715-234-1787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WI 01449) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-10-01 |