| NPI | 1154694677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA JOY KRETZER Optician 715-298-3308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |