| NPI | 1629248448 |
|---|---|
| Doing Business As | MAVES OPTICAL |
| Entity Type | Organization |
| Authorized Contact | STEVEN P GANDER President 218-773-3438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: ND 458) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2009-08-14 |