| NPI | 1558565507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN E GROUSNICK Owner 913-341-5081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |