NPI | 1487975603 |
---|---|
Doing Business As | KSB EYE & VISION CARE |
Entity Type | Organization |
Authorized Contact | AUSTIN BRUCE FRAZIER CFO 815-285-5513 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2010-06-22 |
Last Update Date | 2022-12-29 |