| NPI | 1275529125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAND E CUNNINGHAM Owner 260-482-1555 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2014-11-25 |