| NPI | 1396912325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVERETTE BRONZE QUINTON Optician 414-221-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |