| NPI | 1427216100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACIELA ESTRADA Optician 419-535-7837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OH 74sc) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-07-09 |