NPI | 1629013719 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID M DILLMAN Owner President 217-443-8112 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IL 3010 9434) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2013-01-07 |