| NPI | 1255591236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN E SERRANO Manager 414-855-0469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2009-08-17 |