| NPI | 1528584562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNDA B TAYLOR Optician/Doc Tech 260-482-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IN 18003705) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2022-07-21 |