| NPI | 1386803534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN HOWARD PETERSON Owner 515-961-2809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IA IA1825) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |