| NPI | 1295860930 |
|---|---|
| Doing Business As | DIETLEIN OPTICAL BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | JON F DIETLEIN President 512-931-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-06-12 |