| NPI | 1285821066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ROBERT TAYLOR Owner 812-475-0035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: OH 4807T1649) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2012-08-01 |