NPI | 1407038508 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN D KELTZ Owner 712-551-1603 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IA 01646) |
Enumeration Date | 2007-11-30 |
Last Update Date | 2007-12-09 |