| NPI | 1669507935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI A KIMBALL Owner Optician 906-932-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MI 1) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2022-07-21 |