NPI | 1255477386 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD JOSEPH GALLE President O PT Ician 262-694-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: WI LICENSE NOT REQUIRED) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2020-08-22 |