| NPI | 1336101161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W JANKE Owner Optician 920-722-2844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2018-06-25 |