| NPI | 1295887321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR STEPHEN SLANA President 262-654-0726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |