| NPI | 1558427740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE SCHOSSOW Optician 641-753-5042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2009-08-21 |