| NPI | 1245405695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE M PAYNE Adminstrator 810-235-4607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |