| NPI | 1194787259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J SCHROECK President/Owner 8148-264-3039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2020-08-22 |