| NPI | 1568751618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL L HEINZ Owner/Manager 218-201-0548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |