NPI | 1518105121 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL IMLER Member 815-973-5043 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IL 036-107453) |
Enumeration Date | 2009-02-04 |
Last Update Date | 2009-08-19 |