| NPI | 1306814603 |
|---|---|
| Doing Business As | KSB OPTICAL |
| Entity Type | Organization |
| Authorized Contact | AUSTIN BRUCE FRAZIER CFO 815-285-5513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2022-12-29 |