NPI | 1619203684 |
---|---|
Doing Business As | EYE SITE OPTICAL |
Entity Type | Organization |
Authorized Contact | KRISTINA SWARTZ Owner/Optometrist 574-273-2727 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2009-10-27 |
Last Update Date | 2010-04-27 |