| NPI | 1376716555 |
|---|---|
| Other Name | OPTICAL GALLERY |
| Entity Type | Organization |
| Authorized Contact | KAREN HENZEL Manager 402-223-2950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |