| NPI | 1356744809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD A BALLITCH President 419-521-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2024-02-02 |