NPI | 1376712232 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW F MANSUETO Owner 219-864-1430 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IN 18002573) |
Enumeration Date | 2008-02-25 |
Last Update Date | 2008-06-15 |