| NPI | 1407858939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COAD THOMAS DOW President 715-834-8471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2009-09-09 |