| NPI | 1639115546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN J RELF President 218-720-3553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2010-12-22 |