NPI | 1396952834 |
---|---|
Doing Business As | VOGUE VISION ON HICKMAN |
Entity Type | Organization |
Authorized Contact | ISAK SIVE Owner 515-270-6060 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IA 073000228) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-08-22 |