| NPI | 1366849598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY J. BARNES Owner 317-736-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IN 18001639B) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |