| NPI | 1174791388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD D STRAUMAN Owner 309-543-4436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IL 046006911) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |