| NPI | 1184898926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN P RECKLEY Owner 317-781-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IN 18002071) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |