NPI | 1598166381 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN PITTMAN Director Of Managed Care 920-997-1583 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2014-09-11 |
Last Update Date | 2015-06-04 |