| NPI | 1619101326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY D. MOEHNKE President 515-955-6720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IA 1649) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2010-09-24 |