| NPI | 1518123959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES FRANKLIN ERICSON Owner 515-964-8929 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2023-11-01 |