| NPI | 1497917199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY L HERKERT Office Manager 317-784-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IN 18002512) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |