| NPI | 1306019062 |
|---|---|
| Other Name | OPTICAL GALLERY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J THILGES Partowner/Manager 402-488-3106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2009-05-04 |