| 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 |