| NPI | 1174684534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN M. SUNDSTROM President Of Corporation 920-233-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |