| NPI | 1396905204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D MILLER President 317-831-0725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IN 1250520001) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-08-07 |