| NPI | 1609055623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BAILET President 414-647-6322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2007-10-26 |