| 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 |