| NPI | 1336272673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CLAYTON BOLING Owner 574-293-3545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2013-04-04 |