| NPI | 1194893123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL W. ELSNER Manager 573-221-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2009-11-17 |