| NPI | 1588922298 |
|---|---|
| Doing Business As | SEARS SUNSOURCE #2346 |
| Entity Type | Organization |
| Authorized Contact | WENDY UHLS Medicare Administrator 513-765-3534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |