NPI | 1447595780 |
---|---|
Entity Type | Organization |
Authorized Contact | RANAE D BERGMAN Manager 815-399-2190 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IL 036-110588) |
Enumeration Date | 2012-11-27 |
Last Update Date | 2013-09-06 |