| NPI | 1629240676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ERIKSEN Owner 419-385-2361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OH 48141341) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2011-02-11 |