| NPI | 1396798963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA C DAVENPORT Office Manager 260-347-1128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2011-01-28 |