| NPI | 1407059389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BINH NGUYEN President 219-922-6226 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2015-01-28 |