| NPI | 1386815991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AILEEN HEASTON President 260-489-3996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IN 18002550b) |
| Enumeration Date | 2008-03-23 |
| Last Update Date | 2008-03-23 |