| NPI | 1528065166 |
|---|---|
| Other Name | WABASH OPTICAL |
| Entity Type | Organization |
| Authorized Contact | ROGER KEITH WYATT President 812-945-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2020-08-22 |