| NPI | 1659397024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN K KISTLER Member 615-329-3959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2019-07-08 |