| NPI | 1497088702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBY L QUARRY Manager 260-925-5944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |