| NPI | 1629049150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE L SAWASKY Business Manager 262-637-9615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2020-08-22 |